A client suffered an episode of anaphylaxis and has been ...

[geoffrey]

A client suffered an episode of anaphylaxis and has been stabilized in the intensive care unit. When assessing the client's lungs, the nurse hears the following sounds. What medication does the nurse prepare to administer?
 
  (Click the media button to hear the audio clip.)
  a.
  Albuterol (Proventil) via nebulizer
  b.
  Diphenhydramine (Benadryl) IM
  c.
  Epinephrine 1:10,000 5 mg IV push
  d.
  Methylprednisolone (Solu-Medrol) IV push

Question 2

A client in the family practice clinic reports a 2-week history of an allergy to something. The nurse obtains the following assessment and laboratory data:
 
  Physical Assessment Data
  Laboratory Results
  Reports sore throat, runny nose, headache
  Posterior pharynx is reddened
  Nasal discharge is seen in the back of the throat
  Nasal discharge is creamy yellow in color
  Temperature 100.2  F (37.9  C)
  Red, watery eyes
  White blood cell count: 13,400/mm3
  Eosinophil count: 11.5
  Neutrophil count: 82
  About what medications and interventions does the nurse plan to teach this client? (Select all that apply.)
  a.
  Elimination of any pets
  b.
  Chlorpheniramine (Chlor-Trimaton)
  c.
  Future allergy scratch testing
  d.
  Proper use of decongestant nose sprays
  e.
  Taking the full dose of antibiotics

[Kdiggy]

Answer to Question 1

ANS: A
The nurse has auscultated wheezing in the client's lungs and prepares to administer albuterol, which is a bronchodilator, or assists respiratory therapy with administration. Diphenhydramine is an antihistamine. Epinephrine is given during an acute crisis in a concentration of 1:1000. Methylprednisolone is a corticosteroid.

Answer to Question 2

ANS: B, C, D, E
This client has manifestations of both allergic rhinitis and an overlying infection (probably sinus, as evidenced by purulent nasal drainage, high white blood cells, and high neutrophils). The client needs education on antihistamines such as chlorpheniramine, future allergy testing, the proper way to use decongestant nasal sprays, and ensuring that the full dose of antibiotics is taken. Since the nurse does not yet know what the client is allergic to, advising him or her to get rid of pets is premature.